24th. Abdomen less tender and tense; still more prostrate.
25th. Stools in bed; pulse scarcely perceptible; features collapsed.
Died in the night.
_Head._ Membranes of brain vascular; substance natural; effusion into
the ventricles and at base; pituitary gland suppurated. _Thorax._ Mucous
membrane of bronchi inflamed; tubes full of mucus, mixed with pus;
[superior lobe of right lung a mass of tubercular disease; one of the
tubercles the size of a pigeon’s egg, in a state of suppuration;
effusion of serum into the left pleural cavity.] _Abdomen._ Mucous
membrane of jejunum and ilium much inflamed; caput coli firmly adherent
to the abdominal peritoneum; large quantity of serum effused into the
hepatic region; substance of liver soft; gall-bladder in a state of
suppuration; contained three large biliary calculi; omentum inflamed;
[two large hydatids attached to the left ovarium.]
CASE C.
ROBERT EBBOTT, æt. 28, labourer. Admitted on the 12th day of fever: pain
of head, which has been severe, is now only slight; frequent sighing; no
pain of chest; frequent dry cough; respiration heavy and suspirious;
abdomen tender; tongue dry, black, and cracked, red at apex; lips and
teeth sordid; bowels purged; pulse 68.
15th. Mind confused; insensibility increasing; abdomen tender; tongue
quite black and extremely dry; teeth sordid; respiration the same; no
stool; pulse 72, feeble. Died next day.
_Head._ Dura mater natural; longitudinal sinus contained a firm cord of
fibrin; arachnoid and pia mater vascular; substance of brain natural;
pituitary gland softened and suppurating; much effusion into the
ventricles; at the base the membranes were elevated into a large bag,
distended with fluid. _Thorax._ Mucous membrane of bronchi vascular;
[right lung adherent to pleura, by a single point, at the upper part of
the inferior lobe; substance contained numerous tubercles; left pleural
cavity obliterated; left lung hepatized throughout, containing tubercles
in every stage of disease; apex of heart adherent to pericardium.]
_Abdomen._ Mucous membrane of ilium and cæcum inflamed and extensively
ulcerated; [liver exceedingly enlarged and hard, almost of cartilaginous
firmness and texture, weighed seven pounds two ounces; right kidney
externally nodulated, internally healthy; left, healthy externally, but,
when cut into, found to contain several abscesses; urinary bladder
small; walls one third of an inch thick.]
CASE CI.
JANE HALLAM, æt. 28, married. Admitted on the 6th day of fever: attacked
with overwhelming loss of strength and severe pain of the head; pain of
head continues, with distressing vertigo; no pain of chest; no cough;
abdomen tender; tongue covered with white fur, but is extremely parched;
thirst urgent; thinks she has had thirty stools within the last
twenty-four hours; mind tolerably distinct.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account